Advanced Center For Psychotherapy | |
178-10 Wexford Terrace Jamaica Estates NY 11432 | |
(718) 739-7099 | |
(718) 658-4641 |
Full Name | Advanced Center For Psychotherapy |
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Speciality | Psychologist |
Location | 178-10 Wexford Terrace, Jamaica Estates, New York |
Authorized Official Name and Position | Frank Mestecky (ACCOUNTANT) |
Authorized Official Contact | 7182066821 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Advanced Center For Psychotherapy 178-10 Wexford Terrace Jamaica Estates NY 11432 Ph: (718) 739-7099 | Advanced Center For Psychotherapy 178-10 Wexford Terrace Jamaica Estates NY 11432 Ph: (718) 739-7099 |
NPI Number | 1477585206 |
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Provider Enumeration Date | 07/06/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477585206 | NPI | - | NPPES |
00245836 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
Advanced Center For Psychotherapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 178-10 Wexford Terrace, Jamaica Estates, NY 11432 Phone: 718-658-1123 Fax: 718-658-7091 |